Healthcare Provider Details

I. General information

NPI: 1790691434
Provider Name (Legal Business Name): CHILDREN'S CARDIOLOGY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6735 CONROY RD STE 414
ORLANDO FL
32835-3567
US

IV. Provider business mailing address

6735 CONROY RD STE 414
ORLANDO FL
32835-3567
US

V. Phone/Fax

Practice location:
  • Phone: 407-588-0550
  • Fax: 888-494-2369
Mailing address:
  • Phone: 407-588-0550
  • Fax: 888-494-2369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BHAVYA TRIVEDI
Title or Position: CEO
Credential: MD, PHD
Phone: 407-588-0550